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Individual

GINA ROSALIE RICKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1584 MAIN ST, PLEASANT VALLEY, NY 12569-7818
(347) 338-0830
Mailing address
1612 MAIN ST UNIT 12, PLEASANT VALLEY, NY 12569-7047

Taxonomy

Speciality
Code
Description
License number
State
225600000X
Dance Therapist
Primary
003165
NY

Other

Enumeration date
04/08/2026
Last updated
04/08/2026
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